{"id":14472,"date":"2020-05-04T12:46:08","date_gmt":"2020-05-04T11:46:08","guid":{"rendered":"https:\/\/www.wma.net\/wp-content\/uploads\/2020\/05\/Final-WMA-Annual-Report-1.pdf"},"modified":"2022-04-29T10:24:21","modified_gmt":"2022-04-29T09:24:21","slug":"final-wma-annual-report-2","status":"inherit","type":"attachment","link":"https:\/\/www.wma.net\/fr\/accueil\/final-wma-annual-report-2\/","title":{"rendered":"Final WMA Annual Report"},"author":17,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"acf":[],"description":{"rendered":"<p class=\"attachment\"><a href='https:\/\/www.wma.net\/wp-content\/uploads\/2020\/05\/Final-WMA-Annual-Report-1.pdf'>Final WMA Annual Report<\/a><\/p>\n<p>ANNUAL\u00a0REPORT<br \/>\n2020<br \/>\nWORLD MEDICAL ASSOCIATION<br \/>\nW M A D e c l a r a t i o n o n E u t h a n a s i a a n d<br \/>\nP h y s i c i a n &#8211; A s s i s t e d S u i c i d e<br \/>\nW M A R e s o l u t i o n o n t h e R e v o c a t i o n<br \/>\no f W H O G u i d e l i n e s o n O p i o i d U s e<br \/>\nW M A S t a t e m e n t o n H e a l t h c a r e<br \/>\nI n f o r m a t i o n f o r A l l<br \/>\nW M A S t a t e m e n t o n F r e e S u g a r<br \/>\nC o n s u m p t i o n a n d S u g a r &#8211; s w e e t e n e d<br \/>\nB e v e r a g e s<br \/>\nW M A R e s o l u t i o n o n C l i m a t e<br \/>\nE m e r g e n c y C l i m a t e , C l i m a t e<br \/>\nC h a n g e \u00a0<br \/>\nA d o p t e d :<br \/>\nPolicies adopted at the General Assembly 2019 &#8211; Tbilisi<br \/>\nP O L I C I E S \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 W M A 2 0 1 9 A N N U A L R E P O R T<br \/>\nW M A R e s o l u t i o n o n L e g i s l a t i o n a g a i n s t A b o r t i o n i n N i c a r a g u a<br \/>\nW M A D e c l a r a t i o n o f R e y k j a v i k \u2013 E t h i c a l C o n s i d e r a t i o n s R e g a r d i n g<br \/>\nt h e U s e o f G e n e t i c s i n H e a l t h C a r e<br \/>\nW M A S t a t e m e n t o n P a t e n t i n g M e d i c a l P r o c e d u r e s<br \/>\nW M A D e c l a r a t i o n o n G u i d e l i n e s f o r C o n t i n u o u s Q u a l i t y I m p r o v e m e n t<br \/>\ni n H e a l t h c a r e<br \/>\nW M A D e c l a r a t i o n o f M a d r i d o n P r o f e s s i o n a l l y &#8211; l e d R e g u l a t i o n<br \/>\nW M A S t a t e m e n t o n A n t i m i c r o b i a l R e s i s t a n c e<br \/>\nW M A S t a t e m e n t o n R e d u c i n g D i e t a r y S o d i u m I n t a k e<br \/>\nW M A S t a t e m e n t o n A c c e s s o f W o m e n a n d C h i l d r e n t o H e a l t h C a r e<br \/>\nW M A D e c l a r a t i o n o n t h e R e l a t i o n o f L a w a n d E t h i c s<br \/>\nW M A S t a t e m e n t o n V i o l e n c e a n d H e a l t h<br \/>\nW M A S t a t e m e n t o n S e x S e l e c t i o n A b o r t i o n a n d F e m a l e F o e t i c i d e<br \/>\nW M A S t a t e m e n t o n A u g m e n t e d I n t e l l i g e n c e i n M e d i c a l C a r e<br \/>\nW M A S t a t e m e n t o n M e d i c a l A g e A s s e s s m e n t o f U n a c c o m p a n i e d<br \/>\nM i n o r A s y l u m S e e k e r s<br \/>\nW M A S t a t e m e n t o n S o l i t a r y<br \/>\nC o n f i n e m e n t<br \/>\nW M A S t a t e m e n t o n t h e<br \/>\nP r i o r i t i s a t i o n o f I m m u n i s a t i o n<br \/>\nW M A R e s o l u t i o n o n T a s k<br \/>\nS h i f t i n g f r o m t h e M e d i c a l<br \/>\nP r o f e s s i o n<br \/>\nR e v i s e d \/ R e a f f i r m e d<br \/>\nP A G E 0 2 |<br \/>\nMESSAGE FROM THE WMA PRESIDENT\u00a0<br \/>\nD R . M I G U E L R O B E R T O J O R G E<br \/>\nWMA President<br \/>\nP A G E 0 3 |<br \/>\nThe year 2019 was a year that will stand out<br \/>\nas a culmination point for the climate<br \/>\nchange debate, a debate the WMA has not<br \/>\nonly been involved in for more than a<br \/>\ndecade, we are also proud to have brought<br \/>\nthe health aspects of climate change to the<br \/>\npolitical debate at the UN Climate<br \/>\nConference, first at the COP 15 in<br \/>\nCopenhagen ten years ago.<br \/>\nThe short notice change of this year\u2019s<br \/>\nconference venue from Santiago de Chile to<br \/>\nMadrid due to the social unrest in Chile<br \/>\npoints to the fact that some of the social<br \/>\nfabric in our societies is not what it should<br \/>\nbe.<br \/>\nIn our work on the Social Determinants of<br \/>\nHealth we deal with these questions, but we<br \/>\nalso prepare for the changes that are coming<br \/>\nto our profession through increasing<br \/>\ndigitization. Organized by my immediate<br \/>\npredecessor Dr Leonid Eidelman, the WMA<br \/>\nand the Israeli Medical Association held a<br \/>\nSymposium on the future of medicine. Big<br \/>\ndata, artificial intelligence, mobile health and<br \/>\nnew types of economics based on Internet<br \/>\nplatforms rather than on traditional businesses<br \/>\nare already changing the face of medicine. But<br \/>\nwhile medical technology and practice<br \/>\ncontinue to develop, the protagonists of these<br \/>\ndevelopments still encourage us to bear in<br \/>\nmind the human factor in medicine.<br \/>\nThe patient-physician relationship is more<br \/>\nthan, if not completely different from, a<br \/>\nconsumer or client-provider relationship, at<br \/>\nleast this is the case if we are serious about our<br \/>\nprofessional ethics. Although the patient-<br \/>\nphysician relationship has evolved<br \/>\nconsiderably over time, from physicians taking<br \/>\ndecisions alone to shared decision-making<br \/>\nprocesses, the asymmetry in this relationship<br \/>\nremains. A thorough and high-quality<br \/>\neducation forms a physician, and we have to<br \/>\nput more emphasis on the human interaction<br \/>\nin the practice of medicine than we did in the<br \/>\npast.<br \/>\nThe eight to twelve years of education a<br \/>\nperson usually needs to become a<br \/>\ncompetent and specialized physician, and I<br \/>\ninclude family physicians as such, also make<br \/>\nphysicians the most competent leaders in a<br \/>\nprimary care team. While there is no doubt<br \/>\nthat all medical care nowadays is team care,<br \/>\nwe strongly advocate for a world in which<br \/>\nall patients who need to be seen by a<br \/>\nphysician will be seen by a physician. This<br \/>\ndemand may still be aspirational in many<br \/>\nparts of the world, but it is appropriate, and<br \/>\nwe don\u2019t want physicians to be replaced by<br \/>\nother health professionals who don\u2019t have<br \/>\nthis high level of qualification.<br \/>\n\u00a0<br \/>\nOnly such health care, and especially<br \/>\nprimary care that is based on the best<br \/>\nevidence, of high quality and is delivered on<br \/>\ntime, can fulfil the requirements of Universal<br \/>\nHealth Coverage (UHC).We believe the<br \/>\nstandard for this must be science based,<br \/>\npracticed with compassion and it cannot be<br \/>\nreplaced by \u201calternative medicine\u201d or \u201clocal<br \/>\nstandards\u201d. At a conference on UHC,<br \/>\norganised jointly with the Japan Medical<br \/>\nAssociation and with the support of the<br \/>\nJapanese Government, we underlined our<br \/>\nsupport for bringing UHC to all countries of<br \/>\nthe world. Wise health policy and strong<br \/>\ninvestment in human resources for health<br \/>\nwill be necessary to bring real health care to<br \/>\nmany more people. We are convinced this<br \/>\ncan be done and we stay committed to this<br \/>\ngoal.<br \/>\nPresident\u2019s Report<br \/>\nDr. Leonid Eidelman presented his<br \/>\nwritten and oral report about his work as<br \/>\nPresident during 2018\/19.<br \/>\nHe said he had stated at the start of his<br \/>\nPresidency that he would like to devote<br \/>\nhis tenure to evaluating future challenges<br \/>\nfaced by physicians throughout the<br \/>\nworld, as well as promoting preparedness.<br \/>\nThis he had done at the many meetings<br \/>\nhe had spoken at and attended. Among<br \/>\nthem was the \u2018Physician 2030\u2019 meeting in<br \/>\nHerzliya, Israel in May, which addressed<br \/>\nhealthcare models and the medical<br \/>\nworkplace in 2030. He had also attended<br \/>\nmany national medical association<br \/>\nmeetings.<br \/>\nP A G E 0 4 |<br \/>\nGeneral Assembly 2019 &#8211; Tbilisi<br \/>\nChair\u2019s Report<br \/>\nDr. Montgomery, in his written report, said<br \/>\nthat since his election in Santiago in April<br \/>\nmany big health issues had \u2018stormed over\u2019<br \/>\nthem\u00a0 \u2013 Universal Health Coverage, Ebola<br \/>\nreturning to Africa, and the measles<br \/>\nreturning in many countries, either due to<br \/>\npeople having no access to vaccines, or to<br \/>\nthe shameful fact that a growing vaccine<br \/>\nhesitancy in richer societies had led to a<br \/>\nloss of immunity. There was also climate<br \/>\nchange, with heatwaves in Europe,<br \/>\ntyphoons and hurricanes in tropical and<br \/>\nsubtropical regions, and the dangerous<br \/>\nmelting of polar ice on both sides of the<br \/>\nplanet This was casting long shadows<br \/>\nover the future of their children\u2019s<br \/>\ngeneration.<br \/>\nAt the invitation of the Georgian Medical Association, delegates from more than 50<br \/>\nNational Medical Associations and constituent member associations met at the<br \/>\nSheraton Grand Tbilisi Metechi Palace.<br \/>\nWMA General assembly, Tbilisi, Georgia &#8211; Photo: Peteris Apinis<br \/>\nE V E N T S \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 W M A 2 0 1 9 A N N U A L R E P O R T<br \/>\nP A G E 0 5 |<br \/>\nThe World Medical Association has committed itself to support the World Health<br \/>\nOrganization in its endeavour to roll out Universal Health Coverage. We support the idea<br \/>\nof bringing real, quality health care to all the people of the world and demand that<br \/>\ngovernments provide the necessary structures and means to build systems of Universal<br \/>\nHealth Coverage.\u00a0<br \/>\nThose countries which are successful demonstrate that this is not so much a question of<br \/>\neither a state run or private health care system, but rather the commitment to equality.<br \/>\nThe 2018 Astana conference underlined the need for good Primary Health Care structures<br \/>\nto be at the core of any good and comprehensive health care system. But the need for<br \/>\nmore health professionals and the creation of attractive and retaining work and living<br \/>\nenvironments was also evident.<br \/>\nCampaigning for Universal Health Coverage<br \/>\nThe Japan Medical Association kicked off the<br \/>\ncampaign in 2019 with its Health Policy<br \/>\nSymposium, at which the WMA contributed with<br \/>\na presentation underlining the role of Physicians<br \/>\nin Primary Care.<br \/>\nIn a side-event to the 2019 World Health<br \/>\nAssembly organized by the Taiwan Medical<br \/>\nAssociation we again underlined the<br \/>\ndevelopment of Primary Health Care Structures<br \/>\nas cornerstones for UHC and stressed the leading<br \/>\nrole of the family physician in multi-professional<br \/>\nteams. Prior to the governmental G20 Summit in<br \/>\nJapan, the WMA co-organized another<br \/>\ninternational H(ealth)20 Meeting with the Japan<br \/>\nMedical Association with the support of the<br \/>\nJapanese Government in Tokyo. Japan is one of<br \/>\nthe countries which has probably come closest<br \/>\nto the ideal of Universal Health Coverage. Japan<br \/>\nhas demonstrated the striking effect of its social<br \/>\nhealth insurance on the health and life-<br \/>\nexpectancy of its people. Japan very much<br \/>\nsupports the idea of Universal Health Coverage<br \/>\nas a means to improve health and to stabilize<br \/>\nsocieties and develop economies.\u00a0<br \/>\nThe H20 conference ended with a call<br \/>\nupon the leaders of the G20 group to put<br \/>\nmore effort into health and the<br \/>\ndevelopment of UHC, which was not only<br \/>\nechoed by the group, but was also<br \/>\nreflected in a UN-Declaration on UHC later<br \/>\nadopted by a UN Summit held alongside<br \/>\nthe UN General Assembly in September<br \/>\n2019.<br \/>\nAlongside the High Level meeting on UHC<br \/>\nin New York on 22 September, the WMA<br \/>\ntogether with the Japan Medical<br \/>\nAssociation and other partners organised<br \/>\nthe side event on \u2018UHC and<br \/>\nCommunicable Diseases: Tradition and<br \/>\nInnovation\u2019. The event highlighted how<br \/>\ndigitalization and innovations can<br \/>\nenhance the acceleration of universal<br \/>\nhealth coverage.<br \/>\nAt an International Symposium on<br \/>\nPrimary Health Care organized in<br \/>\nDecember 2019 in Taipei by the Taiwan<br \/>\nMedical Association, leaders from the TMA<br \/>\nE V E N T S \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 W M A 2 0 1 9 A N N U A L R E P O R T<br \/>\nHealth Professionals Meeting (H20) 2019<br \/>\n\u00ab\u00a0Road to Universal Health Coverage\u00a0\u00bb<br \/>\nand WMA discussed new<br \/>\nmodels of Prmary Health Care<br \/>\nstructures to build primary<br \/>\nhealth care communities,<br \/>\nadvance health care planning<br \/>\nand the role of the physicians in<br \/>\nPHC with a focus on the<br \/>\nPatient\/Physician-Relationship.<br \/>\nWith keynote speakers from science,<br \/>\ndevelopers from Silicon Valley and<br \/>\nphysicians who use and teach about new<br \/>\ntechnologies, the conference provided a<br \/>\nbetter understanding of changes already<br \/>\nunderway and those to come. And while<br \/>\nthere will be many changes to methods<br \/>\nin medicine, human to human<br \/>\ninteraction is worth being retained and<br \/>\ndeveloped.\u00a0<br \/>\nThe WMA has been developing policy on<br \/>\nIT since 1973 and we are still preparing<br \/>\nfor the future. Our latest Statement on<br \/>\nMobile Health and on Ethical<br \/>\nConsiderations regarding Health<br \/>\nDatabases and Biobanks are good<br \/>\nexamples of work that continues.\u00a0<br \/>\nP A G E 0 6 |<br \/>\nPhysician 2030<br \/>\nUHC2030\u2019s Global Compact is an international<br \/>\nhealth partnership to \u201caccelerate progress<br \/>\ntowards UHC\u201d jointly organized by currently 83<br \/>\ncountries, the European Union, international<br \/>\nand multilateral government bodies and<br \/>\norganizations, philanthropists and Civil Society<br \/>\norganizations. The WMA joined in May 2019 at a<br \/>\nsigning ceremony with WMA President Leonid<br \/>\nEidelman.<br \/>\nhttps:\/\/www.uhc2030.org\/our-mission\/global-<br \/>\ncompact\/<br \/>\nJoining Global Compact UHC 2030 in May 2019<br \/>\nDuring the 7 decades of its existence, the future of<br \/>\nmedicine has always been an important topic of<br \/>\ndiscussion for the WMA. Many of the changes and<br \/>\ninventions that have shaped medical practice<br \/>\nhave come from inside the profession, but with<br \/>\nthe rapid commoditization and digitization of<br \/>\nmedicine we are faced with enormous outside<br \/>\npressure.<br \/>\nWhile many predict a complete change or even<br \/>\nabolition of certain specialties, discussions with<br \/>\nfrontline innovators and IT developers reveal a<br \/>\nmuch more differentiated and positive picture.<br \/>\nInitiated by WMA President Leonid Eidelman, and<br \/>\njointly organized with the Israeli Medical<br \/>\nAssociation, the WMA held the Physician 2030<br \/>\nconference in Israel in June 2019.<br \/>\nhttps:\/\/www.wma.net\/policies-post\/wma-<br \/>\nstatement-on-mobile-health\/<br \/>\nhttps:\/\/www.wma.net\/policies-post\/wma-<br \/>\ndeclaration-of-taipei-on-ethical-<br \/>\nconsiderations-regarding-health-databases-<br \/>\nand-biobanks\/<br \/>\nThe WMA was also elected as a board<br \/>\nmember of the Civil Society Engagement<br \/>\nMechanism (CSEM), which is the civil<br \/>\nsociety constituent of the International<br \/>\nHealth Partnership for UHC2030. The<br \/>\nCSEM raises civil society voices in UHC2030<br \/>\nto ensure that Universal Health Coverage<br \/>\npolicies are inclusive and equitable, and<br \/>\nthat systematic attention is given to the<br \/>\nmost marginalized and vulnerable<br \/>\npopulations so that no one is left behind.<br \/>\nE V E N T S \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 W M A 2 0 1 9 A N N U A L R E P O R T<br \/>\nFrom 9 to 12 December 2019 the World Health Organization held a four-day Global<br \/>\nMeeting to accelerate progress on SDG target 3.4 of the 2030 Agenda for Sustainable<br \/>\nDevelopment (to reduce premature mortality from noncommunicable diseases (NCDs) by<br \/>\none third through prevention and treatment and the promotion of mental health and<br \/>\nwell-being). The Meeting was hosted by the Government of the Sultanate of Oman in<br \/>\nMuscat, Oman. The goal of the Global Meeting was to scale up the implementation of<br \/>\nnational responses to address NCDs, their risk factors (including air pollution), and mental<br \/>\nhealth conditions with a view to reducing premature mortality and put countries on a<br \/>\nsustainable path in order to achieve SDG target 3.4 by 2030. Opportunities for synergies<br \/>\nto end all forms of malnutrition (SDG target 2.2), reduce the number of deaths and<br \/>\ninjuries from road traffic accidents (SDG targets 3.6 and 11.2), and end all forms of violence<br \/>\nagainst children (SDG target 16.2) were also explored.<br \/>\nWMA president Dr Miguel Roberto Jorge was<br \/>\ninvited to speak at the High-level Segment at<br \/>\nthe level of ministers and heads of<br \/>\norganizations. He highlighted that the health<br \/>\nsector is one of the most essential sectors for<br \/>\ntackling NCDs. This won\u2019t be possible without<br \/>\nstrengthening the health workforce and<br \/>\nclosing the gap on the estimated 18 million<br \/>\nmissing health professionals. Health<br \/>\nprofessionals need to be trained in health<br \/>\npromotion, prevention and treatment of NCDs.<br \/>\nThe health system needs to allow them to<br \/>\nhave sufficient time with their patients, and<br \/>\nregulation systems should not only reimburse<br \/>\nhealth professionals for providing treatment,<br \/>\nbut also for prevention and health promotion.<br \/>\nIn a second speech, Dr Miguel Roberto Jorge<br \/>\nexpressed the importance of collaborative<br \/>\ngovernance on NCDs \u2013 only by multisectoral<br \/>\nand multistakeholder action we can<br \/>\naccelerate regional and country-level<br \/>\nresponses.<br \/>\nA second WMA speaker, Dr Julia Tainijoki-<br \/>\nSeyer, was invited to explore how to overcome<br \/>\nnational implementation challenges. One<br \/>\nfocus of her presentation was in health care<br \/>\nsystem strengthening and the important role<br \/>\nof health professionals, their education and<br \/>\nworking conditions.\u00a0<br \/>\nFurthermore, during the official launch of the<br \/>\nBMJ journal &#8211; Solutions for non-<br \/>\ncommunicable disease prevention and<br \/>\ncontrol &#8211; she presented her article on how<br \/>\nmedical education must change in order to<br \/>\nprepare physicians for health promotion,<br \/>\nprevention and treatment. Taking a holistic<br \/>\napproach, putting the patient at the centre of<br \/>\ncare and including the social determinants of<br \/>\nhealth.<br \/>\nP A G E 0 7 |<br \/>\nWHO Global Meeting to Accelerate Progress on SDG Target 3.4 on NCDs<br \/>\nand Mental Health 9-12 December Muscat, Oman<br \/>\nWHO- involvement of Non State Actors in<br \/>\nofficial relationship with WHO in governing<br \/>\nbodies meetings of WHO \u2013 16.12.2019<br \/>\nCSEM UHC 2030 advisory board meeting<br \/>\n8+9.12.2019<br \/>\n9th Global Forum on health promotion at WHO<br \/>\n\u2018health promotion \u2013 a critical pathway to<br \/>\nachieving UHC\u2019 &#8211; 12.11.2019<br \/>\nWHO meeting: Planning for the very first World<br \/>\nPatient Safety Day 17 September 2019 &#8211;<br \/>\n17\/18.6.2019<br \/>\nWHO Expert consultations attended by WMA<br \/>\nE V E N T S \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 W M A 2 0 1 9 A N N U A L R E P O R T<br \/>\nWMA President Dr. Miguel Jorge &#8211; part of the panel<br \/>\nP A G E 0 8 |<br \/>\nThe Annual Conference of the European<br \/>\nForum of Good Clinical Practice (EFGCP) in<br \/>\nBrussels in February 2019 began with the<br \/>\ntopic of \u201cMaking Clinical Research an Element<br \/>\nof Better Healthcare\u201d. It dealt in depth with<br \/>\nthe limitations of clinical trial designs,<br \/>\nintegration with care and, especially, patient-<br \/>\ninvolvement in clinical research &#8211; from<br \/>\ninvolving patients in the design and planning<br \/>\nof clinical studies, to patient driven research.<br \/>\nWhile stronger patient involvement was<br \/>\ngenerally seen as a positive element to better<br \/>\nfocus and integrate research into clinical<br \/>\npractice, it also highlighted the effects of<br \/>\nextreme patient group pressure on<br \/>\nresearchers and study designs.\u00a0<br \/>\nUNAIDS and the World Health Organization<br \/>\ninvited the WMA to a joint a meeting on<br \/>\n\u201cEthical frameworks and biomedical HIV<br \/>\nprevention research in the era of highly<br \/>\neffective HIV prevention\u201c. This November event<br \/>\nwas basically designed as a hearing for the<br \/>\nrevision of the \u201cEthical considerations in<br \/>\nbiomedical HIV prevention trials\u201d, a guidance<br \/>\ndocument on prevention trials that UNAIDS<br \/>\nand WHO last revised in 2012.<br \/>\nThe discussions revealed completely new<br \/>\ncomplexities in the design of clinical trials on<br \/>\nprevention methods, which require new<br \/>\napproaches to the structuring of test groups,<br \/>\ncontrol-group design and research subject<br \/>\nselection. It also demonstrated, among other<br \/>\npoints, that either our current concept of<br \/>\ndealing with \u201cvulnerable\u201d groups does not fit<br \/>\nthe needs of prevention trials, or that a more<br \/>\nrefined definition of vulnerability is necessary.\u00a0<br \/>\nAn invitation to speak at the 40th Annual<br \/>\nScientific Meeting of the Japanese Society of<br \/>\nClinical Pharmacology and Therapeutics<br \/>\n(JSCPT) on the development of the<br \/>\nDeclaration of Helsinki allowed us to discuss<br \/>\nnew trends in international clinical research.<br \/>\nDiversified strategies in clinical research such<br \/>\nas branched trial groups, adaptive trial design,<br \/>\ncluster trials and the use of \u201creal world data\u201d as<br \/>\ncontrols demand our attention for the<br \/>\ndevelopment of ethical standards. Although<br \/>\nthe Declaration of Helsinki is currently<br \/>\nunchallenged, the changes in the research<br \/>\nenvironment require our attention and<br \/>\nconsideration.<br \/>\nUnder the new Strategic Plan 2020-2025 the Secretary General is asked to monitor<br \/>\ndevelopments in clinical\/medical research and to report back to the Council on the<br \/>\nramifications for the Declaration of Helsinki \u2013 Ethical Principles for Medical Research<br \/>\nInvolving Human Subjects as the global core policy on research ethics. The Secretary<br \/>\nGeneral had opportunities to participate in various conferences that are directly related<br \/>\nto research ethics:\u00a0<br \/>\n\u00a0 \u00a0 Clinical research is rapidly changing \u2013 What does this mean for research ethics?<br \/>\nE V E N T S \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 W M A 2 0 1 9 A N N U A L R E P O R T<br \/>\nWMA Secretary General Dr. Otmar Kloiber, speaker at the conference<br \/>\nCIOMS celebrates 70 years<br \/>\nP A G E 0 9 |<br \/>\nOn the occasion of a visit to Montenegro in preparation<br \/>\nfor the upcoming European Forum of Medical<br \/>\nAssociations, the WMA Secretary General together with<br \/>\nthe delegation of the Forum and the President of the<br \/>\nMedical Chamber of Montenegro, Dr Aleksandar Mugosa,<br \/>\nhad an opportunity to meet with the Prime Minister of<br \/>\nMontenegro, Mr Du\u0161ko Markovi\u0107. Despite efforts to<br \/>\nincrease investments in health care.<br \/>\nCIOMS &#8211; the Council for International Organizations of Medical<br \/>\nSciences &#8211; brings together the research community in medicine.<br \/>\nThe WMA is a member of CIOMS and closely cooperates with the<br \/>\nGeneva-based association, especially on matters of research ethics.<br \/>\n2019 marked the 70th Anniversary of CIOMS.<br \/>\nTo mark this occasion, CIOMS President Dr Herv\u00e9 LeLouet and<br \/>\nSecretary General Dr Lembti R\u00e4go cut a birthday cake at the<br \/>\nCIOMS General Assembly. WMA Secretary General, Dr Otmar<br \/>\nKloiber, was re-elected to the CIOMS Executive Board and Prof.<br \/>\nDominique Sprumont from Switzerland was newly elected to the<br \/>\nCIOMS Board upon nomination of the WMA.<br \/>\nDelegation of the German Parliament visits the WMA office<br \/>\nAlthough visits of politicians are not unusual for the<br \/>\nWMA, a visit of a whole subcommittee is indeed a<br \/>\nnovelty.<br \/>\nIn February 2019, the Subcommittee on International<br \/>\nHealth of the German Parliament visited the WMA as<br \/>\npart of a visit to the international institutions in Geneva.<br \/>\nThis gave us an opportunity to introduce the WMA and<br \/>\nits work to the Parliament members and to speak about<br \/>\nour campaign for UHC and the role of physicians in<br \/>\nhealth care.<\/p>\n<blockquote class=\"wp-embedded-content\" data-secret=\"3TN1hI7Hcz\"><p><a href=\"https:\/\/cioms.ch\/\">front page<\/a><\/p><\/blockquote>\n<p><iframe class=\"wp-embedded-content\" sandbox=\"allow-scripts\" security=\"restricted\" style=\"position: absolute; clip: rect(1px, 1px, 1px, 1px);\" title=\"&#8220;front page&#8221; &#8212; COUNCIL FOR INTERNATIONAL ORGANIZATIONS OF MEDICAL SCIENCES\" src=\"https:\/\/cioms.ch\/embed\/#?secret=3TN1hI7Hcz\" data-secret=\"3TN1hI7Hcz\" width=\"500\" height=\"282\" frameborder=\"0\" marginwidth=\"0\" marginheight=\"0\" scrolling=\"no\"><\/iframe><br \/>\nVisit to Montenegro<br \/>\nE V E N T S \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 W M A 2 0 1 9 A N N U A L R E P O R T<br \/>\nMontenegro is one of the countries with a high attrition rate of physicians migrating to<br \/>\ncountries of the European Union. With the high probability of joining the EU in the future,<br \/>\nMontenegro could experiencean even stronger emigration of physicians. Improving the<br \/>\nconditions for physicians working in Montenegro should therefore be a priority, argued the<br \/>\nSecretary General. This would also include more support for CME\/CPD activities, including<br \/>\nproviding the necessary means for continuing medical education and professional<br \/>\ndevelopment in the public health care system.<br \/>\nGerman Delegation and part of the WMA staff<br \/>\nCIOMS President Dr Herv\u00e9 LeLouet and<br \/>\nSecretary General Dr Lembti R\u00e4go<br \/>\nP A G E 1 0 |<br \/>\nThe World Medical Association has a long<br \/>\nstanding and close cooperation with some<br \/>\nregional medical associations, such as the<br \/>\nConfederaci\u00f3n M\u00e9dica Latinoamericana y del<br \/>\nCaribe &#8211;\u00a0 CONFEMEL, the Confederation of<br \/>\nMedical Associations in Asia and Oceania &#8211;<br \/>\nCMAAO, the Medical Associations of the<br \/>\nmember states of the Association of South<br \/>\nEast Asian Nations &#8211;\u00a0MASEAN, and, since 2019,<br \/>\nwith the newly founded (South Asian<br \/>\nAssociation for Regional Cooperation) SAARC<br \/>\nMedical Association. The Standing Committee<br \/>\nof European Doctors \u2013 CPME has a special<br \/>\nrelationship with the WMA as it was formed in<br \/>\n1959 out of the then European Committee of<br \/>\nthe WMA.<br \/>\nThe Standing Committee of European Doctors celebrates 60 years<br \/>\nWith the foundation of CPME, the European<br \/>\nCommittee ceased to exist. Among the<br \/>\nregional associations CPME also plays a<br \/>\nspecial role as a large amount of legislation in<br \/>\nthe EU has been handed over from national<br \/>\ninstitutions to the European Commission, the<br \/>\nEuropean Council and the European<br \/>\nParliament. In Brussels, CPME serves as a<br \/>\nlobbying organization for physicians and<br \/>\nhealth care to the EU Institutions.<br \/>\nOn the occasion of its General Assembly in<br \/>\nHelsinki in November 2019 we were the first<br \/>\nto congratulate CPME on a very successful 60<br \/>\nyears!<br \/>\nhttp:\/\/www.confemel.com\u00a0<br \/>\nhttp:\/\/cmaao.org\/\u00a0<br \/>\nhttps:\/\/masean.net<br \/>\nhttps:\/\/www.cpme.eu<br \/>\nE V E N T S \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 W M A 2 0 1 9 A N N U A L R E P O R T<br \/>\nThe Standing Committee of European Doctors at its fall meeting in Helsinki<br \/>\nNovember 2019<br \/>\nViolence in Health Care<br \/>\nOn invitation of the Indian Medical Association an international group of health<br \/>\nleaders met to discuss the increasing violence in health care, which has reached<br \/>\ndramatic forms and frequencies in some countries. India seems to be one of the<br \/>\ncountries that has been hit very hard, but the phenomenon is growing globally.<br \/>\nHealth professionals and other health personnel increasingly find themselves confronted<br \/>\nby verbally and physically aggressive patients, relatives or just by-standers. Each year,<br \/>\nseveral physicians are killed on duty and many more are injured or intimidated. The<br \/>\nreasons are manifold and range from long waiting times to medical errors, from<br \/>\ndisappointment about treatment results to just a desire to be aggressive.<br \/>\nThe conference summarized its findings in the Memorandum of Mumbai. It concludes that<br \/>\n\u201cViolence against medical profession and health care workers as well as facilities will be<br \/>\ncounterproductive and demoralizing those who serve patients. This undermines the<br \/>\nconfidence and courage of medical profession especially in critical situations, adversely<br \/>\nimpacting patient care and safety.\u201d Among other items, the conference suggested: \u201cThere<br \/>\nneed to be efficient mechanisms to manage situations through strong government<br \/>\nsupport. There need to be strong policy initiatives, strong legislations and supportive<br \/>\nmechanisms.\u201d However, not much has happened so far.<br \/>\nP A G E 1 1 |<br \/>\nSolidarity with our Turkish Colleagues<br \/>\nAfter Turkey entered into the war in Syria the Board of the Turkish Medical<br \/>\nAssociation issued a statement that war is detrimental to public health. This was<br \/>\nenough to have the whole board of the TMA imprisoned.<br \/>\nDefendants and Observers in front of the court room<br \/>\nPhoto: Courtesy Turkish Medical Association (TTB)<br \/>\nE V E N T S \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 W M A 2 0 1 9 A N N U A L R E P O R T<br \/>\nAfter they were released on bail,<br \/>\nthe Secretary General and other<br \/>\ninternational representatives<br \/>\nobserved a trial session against<br \/>\nthe board members in Ankara<br \/>\nduring the summer. They were<br \/>\nfinally sentenced to multiyear<br \/>\nprison terms for allegedly<br \/>\nsupporting terrorism. They are<br \/>\ncurrently fighting the verdicts in<br \/>\nthe next instance. The WMA<br \/>\ncontinues its support for the<br \/>\nTMA, freedom of expression and<br \/>\ntruthfulness in medicine.<br \/>\nThe World Conferences on Medical<br \/>\nEducation, the first three of which were<br \/>\norganized by the WMA in London in 1953,<br \/>\nin Chicago in 1959 and in New Delhi in<br \/>\n1966, provide a forum to discuss the<br \/>\ndevelopment of medical education, as well<br \/>\nas standards, accreditation and<br \/>\nrecognition.<br \/>\nThe most recent World Conference was<br \/>\norganized by the WFME, Korean Faculties<br \/>\nof Medicine, the Council on Medical<br \/>\nEducation, the Korean Medical Academy<br \/>\nand the Korean Medical Association in<br \/>\nSeoul with more than 800 participants<br \/>\nfrom 57 countries. Under the topic of<br \/>\n\u201cQuality Assurance in Medical Education in<br \/>\nthe 21st\u00a0Century\u201d the conference discussed,<br \/>\namong other subjects, the further<br \/>\ndevelopment of standards, accreditation<br \/>\nand recognition of accreditation.<br \/>\nThe conference demonstrated the will to<br \/>\nuphold a common global understanding<br \/>\nof what a physician is. An important signal<br \/>\nto all parties who wish to dilute the<br \/>\nprofessionalism in medicine in order to<br \/>\nmake it a technical service.<br \/>\nProfessor Jung-Yul PARK, now WMA Chair<br \/>\nof the Finance and Planning Committee,<br \/>\nchaired the Organizing Committee for the<br \/>\nConference.<br \/>\nP A G E 1 2 |<br \/>\nMedical Education<br \/>\nIn 1972 WHO and WMA jointly established the World Federation for Medical<br \/>\nEducation. Its members are now the six regional associations of medical education<br \/>\n(mainly representing medical school faculties), the International Federation of<br \/>\nMedical Student Associations (IFMSA), the Educational Commission for Foreign<br \/>\nMedical Graduates (ECFMG) and the Junior Doctors Network of the WMA, together<br \/>\nwith the founding partners.\u00a0<br \/>\nThe WFME has developed a trilogy of standards for basic medical education, postgraduate<br \/>\nmedical education and Continuing Professional Development. Standards for basic medical<br \/>\neducation, especially, have helped build systems of accreditation for medical education,<br \/>\nwhich countries can voluntarily have recognized by WFME.\u00a0<br \/>\nAlthough the standards provide a clear framework for medical education, they are not<br \/>\nintended to standardise medical education. Rather they should ensure that education is<br \/>\nproducing a competent and responsible physician. This is also an insurance for countries<br \/>\ninvesting in medical education, or vice-versa for students in places where they pay for their<br \/>\neducation themselves.<br \/>\nIn December 2019 the WHO, with support<br \/>\nfrom the Educational Commission for<br \/>\nForeign Medical Graduates (ECFME),<br \/>\norganised an interprofessional conference<br \/>\non medical education, which was held in<br \/>\nIstanbul, Turkey.<br \/>\nThis represented a first attempt by WHO to<br \/>\ndevelop a common approach to the<br \/>\nregulation of health professionals. The<br \/>\nWorld Health Professions Alliance, which is<br \/>\nstaging an interprofessional conference<br \/>\nseries on Health Professions\u2019 Regulation,<br \/>\nwill continue its conference series on 16<br \/>\nMay 2020, immediately before the opening<br \/>\nof the World Health Assembly.\u00a0<\/p>\n<blockquote class=\"wp-embedded-content\" data-secret=\"AlWzEYs1zL\"><p><a href=\"https:\/\/wfme.org\/\">Home<\/a><\/p><\/blockquote>\n<p><iframe class=\"wp-embedded-content\" sandbox=\"allow-scripts\" security=\"restricted\" style=\"position: absolute; clip: rect(1px, 1px, 1px, 1px);\" title=\"&#8220;Home&#8221; &#8212; The World Federation for Medical Education\" src=\"https:\/\/wfme.org\/embed\/#?secret=AlWzEYs1zL\" data-secret=\"AlWzEYs1zL\" width=\"500\" height=\"282\" frameborder=\"0\" marginwidth=\"0\" marginheight=\"0\" scrolling=\"no\"><\/iframe><br \/>\nhttps:\/\/www.whpa.org<br \/>\nhttps:\/\/www.whpa.org\/news-<br \/>\nresources\/news\/20191219-whprc-2020-<br \/>\nplanning-full-swing<br \/>\nProf. Jung Yul Park, chair of the organizing committee<br \/>\nPhoto: Courtesy World Federation for Medical Education<br \/>\nE V E N T S \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 W M A 2 0 1 9 A N N U A L R E P O R T<br \/>\nInfluenza<br \/>\nFor the past seven years, the World Medical Association (WMA), with the support of<br \/>\nthe International Federation of Pharmaceutical Manufacturers and Associations<br \/>\n(IFPMA), has run an advocacy and communications campaign to promote the uptake<br \/>\nof influenza immunization. In 2019 the campaign\u2019s focus was again on health<br \/>\nprofessionals.<br \/>\nHealth professionals should be aware of the importance of communicating with patients<br \/>\nand encouraging them to get immunized and be better equipped to address immunization<br \/>\nhesitance among their patients. During the 6 weeks of the communication campaign from<br \/>\nOctober until early December we achieved increased visibility for the WMA, with 2 600 000<br \/>\nsocial media impressions (2 500 000 from Facebook and 149 000 from Twitter).<br \/>\nThe campaign attracted 12 672 followers on Facebook and had peak growth at the start of<br \/>\nthe campaign, followed by constant growth. Over this period, we gained 423 new fans.<br \/>\nP A G E 1 3 |<br \/>\nSocial Media growth during the campaign<br \/>\nSome visuals of the Social Media campaign<br \/>\nC A M P A I G N S \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 W M A 2 0 1 9 A N N U A L R E P O R T<br \/>\nP A G E 1 4 |<br \/>\nPhysicians at the forefront of Climate Change and Health<br \/>\nH U M A N R I G H T S \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 W M A 2 0 1 9 A N N U A L R E P O R T<br \/>\n2019 has been touted as the year the world woke up to the reality of climate change.<br \/>\nThe WMA has taken an active position on climate issues for a long time now, calling<br \/>\nfor climate action among physicians and promoting sustainable healthcare systems.<br \/>\nEvidence has shown that climate change has<br \/>\ndevastating effects on health. Threats such as<br \/>\nincreased temperatures, fires, floods,<br \/>\ndroughts and the loss of biodiversity<br \/>\nsignificantly affect human health. Air<br \/>\npollution alone causes 7 million deaths per<br \/>\nyear and is responsible for longer hospital<br \/>\nstays. Unfortunately, the health impact of<br \/>\nclimate change is understated in political<br \/>\ndiscussions.<br \/>\nAt the 69th WMA General Assembly held in<br \/>\nTbilisi, Georgia, the WMA joined the global<br \/>\ncommunity in declaring a climate<br \/>\nemergency, urging governments to act swiftly<br \/>\nto deliver carbon neutrality by 2030. WMA<br \/>\nPresident, Dr Miguel Jorge, stated that:<br \/>\n\u201cPhysicians have an important role in<br \/>\nadvocating for the health of citizens around<br \/>\nthe world, and we have a responsibility to<br \/>\ndemand greater action on climate change.\u201d<br \/>\nAn international delegation of physicians<br \/>\nrepresented the WMA at the 25th Conference<br \/>\nof Parties (COP 25) to the United Nations<br \/>\nFramework Convention on Climate Change<br \/>\n(UNFCCC) in Madrid, Spain in December 2019.<br \/>\nThey participated in health-related side<br \/>\nevents and joined the Global Climate and<br \/>\nHealth Alliance (GCHA), WHO and other<br \/>\nmembers of the health community at the<br \/>\nGlobal Climate and Health Summit.<br \/>\nThe starting point of the discussion at the<br \/>\nSummit was to acknowledge that the<br \/>\nchallenges of climate change and health are<br \/>\nintertwined and therefore have common<br \/>\nsolutions. Whatever is beneficial for the<br \/>\nclimate is beneficial for human health. It is for<br \/>\nthis reason that the changing climate will<br \/>\ndefine the profile of public health over the<br \/>\nnext several decades.<br \/>\nIt also offers a great opportunity to the<br \/>\nhealth community, particularly physicians<br \/>\nas the most trusted professionals.<br \/>\nHealth arguments have proven to be<br \/>\neffective in stimulating accelerated action.<br \/>\nThere was also consensus among the<br \/>\nhealth community present at the Summit<br \/>\nthat the response to climate change<br \/>\nlargely depends on political will, rather<br \/>\nthan technical or economic factors. There<br \/>\nis currently a wave of young people and<br \/>\nindigenous groups that have risen to the<br \/>\noccasion and are actively campaigning in<br \/>\npolitical spaces demanding climate action.<br \/>\nTheir efforts must be backed by science.<br \/>\nThrough them, complex data can be<br \/>\nbroken down and communicated to<br \/>\ndecision makers and the general public.<br \/>\nThe WMA will therefore continue to<br \/>\nsupport studies that describe the patterns<br \/>\nof disease attributed to climate change<br \/>\nand define the most vulnerable<br \/>\npopulations.<br \/>\nIt was also agreed that a multilateral<br \/>\napproach is required to ensure that the<br \/>\nhealth of populations is at the centre of all<br \/>\npolicies. Ministries of health must<br \/>\ncollaborate with ministries of environment,<br \/>\ntransport, agriculture, energy and finance<br \/>\nto build momentum on the political front.<br \/>\n\u00a0<br \/>\nThe WMA will keep on urging national<br \/>\ngovernments and civil society to recognize<br \/>\nthe serious health consequences of<br \/>\nclimate change and to adopt strategies to<br \/>\nadapt and mitigate its effects. It is also the<br \/>\nphysicians\u2019 responsibility to advocate for<br \/>\nsustainable, environmentally responsible<br \/>\nand low-carbon practices across the health<br \/>\nsector to reduce the environmental impact<br \/>\nof health care facilities and practices.<br \/>\nP A G E 1 5 |<br \/>\nPhysicians make the Case for Medical Ethics in World Athletics Competitions<br \/>\nIn 2019, the WMA and the South African Medical Association were vocal against the<br \/>\nInternational Association of Athletics Federation (IAAF) Regulations for the Female<br \/>\nClassification (Athletes with Differences of Sex Development), expressing strong<br \/>\nreservations as to its ethical validity. A week before an expected ruling by the Court of<br \/>\nArbitration for Sports (CAS) on these regulations, the WMA called upon physicians not<br \/>\nto participate in the implementation of instructions that intend to classify women<br \/>\nathletes.<br \/>\nOn 1 May, the CAS dismissed Caster Semenya\u2019s<br \/>\nappeal, expressing serious reservations about<br \/>\nthe regulations, but maintaining that they are<br \/>\nnecessary to preserve the integrity of female<br \/>\nathletics.\u00a0 WMA\u2019s statement received broad<br \/>\nmedia coverage and influenced the discourse<br \/>\naround this subject, eventually warranting an<br \/>\nopen letter from the IAAF in response to the<br \/>\nWMA, explaining its position.<br \/>\nThe WMA stood firmly behind the principles of<br \/>\nmedical ethics and human rights,<br \/>\nemphasizing that the regulation perpetuates<br \/>\nflagrant discrimination based on the genetic<br \/>\nvariation of female athletes. In response to the<br \/>\nIAAF, WMA President Dr Leonid Eidelman and<br \/>\nWMA Chair Dr Frank Ulrich Montgomery<br \/>\nexplained: \u2018A medical treatment .. is only<br \/>\njustified when there is a medical need. The<br \/>\nmere existence of an intersex condition,<br \/>\nwithout the person indicating suffering and<br \/>\nexpressing the desire for an adequate<br \/>\ntreatment, does not constitute a medical<br \/>\nindication.<br \/>\n\u2018The days when doctors or society would<br \/>\ndetermine which gender a person should have<br \/>\nare definitely over. It is the ethical duty of<br \/>\nphysicians to respect the dignity and integrity<br \/>\nof people, regardless of whether they are<br \/>\nfemale, male, intersex or transgender. Medical<br \/>\ntreatment for the sole purpose of altering the<br \/>\nperformance in sport is not permissible\u2019.<br \/>\nOn July 29 the Swiss Court reversed its<br \/>\nruling and temporarily reimposed the<br \/>\nhormonal restrictions on female athletes.<br \/>\nThe summary examination concluded that:<br \/>\n\u201cNeither the allegation of an infringement<br \/>\nof the principle of non-discrimination, nor<br \/>\nthe alleged violation of public order due to<br \/>\nan infringement of personality and human<br \/>\ndignity appears with high probability to be<br \/>\nwell founded\u201d. This ruling poses a setback<br \/>\nfor Caster Semenya and her counterparts.<br \/>\nThe full consideration of this case will<br \/>\nprobably be heard in a few months.<br \/>\nHowever, the federal judges will not rule on<br \/>\nthe IAAF regulation itself, they will only give<br \/>\ntheir opinion on its compatibility with the<br \/>\nSwiss public order.\u00a0<br \/>\nDespite the reversal of this decision,<br \/>\nphysicians and human rights defenders<br \/>\nwere successful in voicing their opposition<br \/>\nto the IAAF regulations. The WMA\u2019s public<br \/>\nstand on this issue received widespread<br \/>\nattention in the media, reaching far beyond<br \/>\nthe world of sport. Organizations, such as<br \/>\nHuman Rights Watch, have sought the<br \/>\nsupport of the WMA to urge medical<br \/>\nassociations in countries where athletes are<br \/>\nbeing discriminated against to condemn<br \/>\ntestosterone testing by national governing<br \/>\nbodies for athletics and back physicians<br \/>\nrefusing to act in violation of the<br \/>\nHippocratic Oath.<br \/>\nH U M A N R I G H T S \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 W M A 2 0 1 9 A N N U A L R E P O R T<br \/>\nH U M A N R I G H T S \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 W M A 2 0 1 9 A N N U A L R E P O R T<br \/>\nWMA has issued an important number of press releases in support of its members and each<br \/>\ntime a human rights violation from the health sector was brought to its attention. The press<br \/>\nreleases are available on the WMA website and have been communicated on the WMA social<br \/>\nmedia channels and newsletter.<br \/>\nPublic Relations<br \/>\nP A G E 1 6 |<br \/>\n0 9 . 0 4 . 2 0 2 0 I G l o b a l h e a l t h l e a d e r s u r g e G 2 0 t o a c t n o w o n p e r s o n a l p r o t e c t i v e<br \/>\ne q u i p m e n t<br \/>\n0 2 . 0 4 . 2 0 2 0 I G l o b a l p h y s i c i a n l e a d e r s c a l l f o r u r g e n t a c t i o n t o p r o t e c t h e a l t h<br \/>\np r o f e s s i o n a l s a n d c a r e r s<br \/>\n1 6 . 0 3 . 2 0 2 0 I T u r k i s h P r e s i d e n t i s u r g e d t o r e l e a s e h u m a n r i g h t s p h y s i c i a n<br \/>\n1 0 . 0 3 . 2 0 2 0 I P h y s i c i a n l e a d e r s i s s u e p l e a t o T u r k e y a n d G r e e c e o n b o r d e r<br \/>\nd i s p u t e<br \/>\n0 4 . 0 3 . 2 0 2 0 I W o r l d h e a l t h p r o f e s s i o n a l s c a l l i n g g o v e r n m e n t s t o p r i o r i t i s e<br \/>\ns u p p o r t f o r h e a l t h c a r e w o r k e r s i n t h e f r o n t l i n e a g a i n s t c o r o n a v i r u s<br \/>\n1 0 . 0 2 . 2 0 2 0 I W M A w e l c o m e s P o p e \u2019 s m e s s a g e f o r w o r l d d a y o f t h e s i c k<br \/>\n3 0 . 0 1 . 2 0 2 0 I W M A c a l l s f o r i n t e r n a t i o n a l s u p p l y c h a i n t o f i g h t c o r o n a v i r u s<br \/>\n0 1 . 0 1 . 2 0 2 0 I P h y s i c i a n l e a d e r s s e n d a n n i v e r s a r y m e s s a g e o f t h a n k s t o n u r s e s<br \/>\n1 9 . 1 2 . 2 0 1 9 I W M A u r g e s l e g i s l a t i o n o n v i o l e n c e a g a i n s t p h y s i c i a n s<br \/>\n1 1 . 1 2 . 2 0 1 9 I P h y s i c i a n s n e e d m o r e t i m e w i t h t h e i r p a t i e n t s<br \/>\n0 5 . 1 2 . 2 0 1 9 I S e n s e l e s s k i l l i n g o f J a p a n e s e d o c t o r c o n d e m n e d<br \/>\n0 4 . 1 2 . 2 0 1 9 I N o c r i m i n a l i z a t i o n o f m e d i c a l p r a c t i c e , s a y s W M A<br \/>\n1 9 . 1 1 . 2 0 1 9 I W M A d e p l o r e s b r e a k d o w n i n H o n g K o n g m e d i c a l c a r e<br \/>\n1 9 . 1 1 . 2 0 1 9 I A t t a c k s o n c h i l d r e n \u2019 s h o s p i t a l s m u s t e n d<br \/>\n0 5 . 1 1 . 2 0 1 9 I V i o l e n c e a g a i n s t h e a l t h p r o f e s s i o n s a s i g n i f i c a n t p u b l i c h e a l t h<br \/>\nc h a l l e n g e<br \/>\n3 1 . 1 0 . 2 0 1 9 I W M A i s s u e s r e v i s e d g u i d e l i n e s o n g e n e t i c t e s t i n g<br \/>\n2 9 . 1 0 . 2 0 1 9 I W M A u r g e s a l l g o v e r n m e n t s t o i n t r o d u c e s u g a r t a x<br \/>\n2 8 . 1 0 . 2 0 1 9 I P h y s i c i a n s d e m a n d a c c e l e r a t e d a c t i o n o n c l i m a t e c h a n g e<br \/>\n2 6 . 1 0 . 2 0 1 9 I W M A r e a f f i r m s o p p o s i t i o n t o e u t h a n a s i a a n d p h y s i c i a n &#8211; a s s i s t e d<br \/>\ns u i c i d e<br \/>\n2 5 . 1 0 . 2 0 1 9 I M e d i c a l s t u d e n t s a n d p h y s i c i a n s n e e d t o p r a c t i c e w i t h e m p a t h y i n<br \/>\nc a r i n g f o r p a t i e n t s , s a y s n e w W M A P r e s i d e n t<br \/>\n2 7 . 0 9 . 2 0 1 9 I C a l l t o e n d d o g &#8211; t r a n s m i t t e d h u m a n r a b i e s b y 2 0 3 0<br \/>\n1 6 . 0 9 . 2 0 1 9 I W o r l d \u2019 s h e a l t h p r o f e s s i o n a l s c a l l f o r a n e n d t o S y r i a h o s p i t a l a i r<br \/>\ns t r i k e s<br \/>\n0 3 . 0 9 . 2 0 1 9 I W M A c o n d e m n s l a t e s t k i l l i n g o f d o c t o r<br \/>\n1 5 . 0 8 . 2 0 1 9 I A r r e s t o f h e a l t h p r o f e s s i o n a l s d e p l o r e d<br \/>\n0 2 . 0 8 . 2 0 1 9 I W M A \u2019 s u r g e n t p l e a f o r r e l e a s e o f d o c t o r f a c i n g d e a t h p e n a l t y<br \/>\n1 7 . 0 6 . 2 0 1 9 I C o n v i c t e d p h y s i c i a n s r e c e i v e m e s s a g e o f s u p p o r t f r o m w o r l d \u2019 s<br \/>\nd o c t o r s<br \/>\n1 2 . 0 6 . 2 0 1 9 I P h y s i c i a n l e a d e r s c a l l f o r e n d t o v i o l e n c e i n H o n d u r a s<br \/>\n0 4 . 0 6 . 2 0 1 9 I W M A w e l c o m e s S w i s s c o u r t d e c i s i o n<br \/>\n2 8 . 0 5 . 2 0 1 9 I W M A w e l c o m e s d e c i s i o n o n b u r n o u t<br \/>\n2 2 . 0 5 . 2 0 1 9 I W M A s i g n s u p t o p r o m o t i n g u n i v e r s a l h e a l t h c o v e r a g e<br \/>\n2 1 . 0 5 . 2 0 1 9 I W o r l d g o v e r n m e n t s u r g e d t o c o n d e m n d o c t o r s \u2019 s e n t e n c e s<br \/>\n1 5 . 0 5 . 2 0 1 9 I P h y s i c i a n l e a d e r s r e a f f i r m o p p o s i t i o n t o I A A F r u l e s<br \/>\n1 5 . 0 5 . 2 0 1 9 I W M A l e a d e r \u2019 s w a r n i n g o v e r s u b s t i t u t i n g p h y s i c i a n s<br \/>\n0 9 . 0 5 . 2 0 1 9 I T u r k i s h h u n g e r s t r i k e p r o t e s t b y W M A<br \/>\n0 3 . 0 5 . 2 0 1 9 I S t a t e m e n t o n t h e o u t c o m e o f t h e t r i a l a g a i n s t t h e T u r k i s h d o c t o r<br \/>\nl e a d e r s<br \/>\n0 2 . 0 5 . 2 0 1 9 I W M A R e i t e r a t e s a d v i c e t o p h y s i c i a n s n o t t o i m p l e m e n t I A A F R u l e s<br \/>\no n c l a s s i f y i n g w o m e n a t h l e t e s<br \/>\n3 0 . 0 4 . 2 0 1 9 I W M A c a l l s f o r T a i w a n \u2019 s p a r t i c i p a t i o n a t W o r l d H e a l t h A s s e m b l y<br \/>\nConstituent Membership<br \/>\nThe physicians of this world are typically<br \/>\nrepresented by national and territorial medical<br \/>\nassociations of their own regions.<br \/>\nSuch associations are broadly representative of<br \/>\nthe physicians of their country by virtue of<br \/>\ntheir membership, with their voting<br \/>\nmembership being limited to physicians and<br \/>\nmedical students. They are not subject or<br \/>\ndirected by any office or agency of<br \/>\ngovernment.<br \/>\nAdvantages<br \/>\n1. Recognition and acceptance as a member<br \/>\nof an international organization such as the<br \/>\nWMA lends the power of a global community<br \/>\nto a National Medical Association (NMA). This<br \/>\nunderlines the importance and relevance of<br \/>\nthe NMA.<br \/>\n2. The WMA is in official relations with United<br \/>\nNations agencies such as the World Health<br \/>\nOrganization, which gives NMAs and<br \/>\nAssociate Members access to these<br \/>\ninternational bodies.<br \/>\n3. By participating in debates with colleagues<br \/>\nfrom all over the world, NMAs and Associate<br \/>\nMembers have the opportunity to collaborate<br \/>\non ethical guidance and leadership in health<br \/>\ncare.<br \/>\n4. Information and knowledge can be sourced<br \/>\nfrom the WMA, which can contribute to the<br \/>\noptimal efficacy of NMAs and individual<br \/>\nphysicians.<br \/>\n5. NMAs and Associate Members can make<br \/>\nuse of the WMA\u2019s products and services.<br \/>\nWMA currently has a total of \u00a0113 members as of October 2019. Detailed list on the WMA website.<br \/>\nM E M B E R S H I P \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 W M A 2 0 1 9 A N N U A L R E P O R T<br \/>\nAssociate\u00a0Membership Advantages<br \/>\nAssociate membership is limited to physicians<br \/>\n(as defined in the WMA Bylaws) and medical<br \/>\nstudents who are properly enrolled in a<br \/>\nrecognised medical school, who have applied<br \/>\nfor such membership and who have paid the<br \/>\namount of dues prescribed for such members.<br \/>\nAssociate membership is available to such<br \/>\nindividual physicians and medical students<br \/>\nwhether or not their National Medical<br \/>\nAssociation is a Constituent Member of the<br \/>\nWorld Medical Association.<br \/>\n1. The privilege of attending and participating<br \/>\nin WMA annual assemblies.<br \/>\n2. Introductions to professional leaders in your<br \/>\nfield and opportunities to visit medical and<br \/>\nhealth institutions abroad.<br \/>\n3. Information on medical meetings abroad.<br \/>\n4. A service department which will assist you<br \/>\nin meeting your colleagues both at home and<br \/>\nabroad.\u00a0<br \/>\n5. A membership certificate for display,<br \/>\n6. WMA secretariat consultation, service and<br \/>\nsmall meeting center.\u00a0<br \/>\n7. Preferred access to the WMA Education<br \/>\nPortal for Continuing Medical Education and<br \/>\nContinuing Professional Development.<br \/>\n8. Publications of the World Medical<br \/>\nAssociation.<br \/>\n9. Access to the internal discussion<br \/>\ndocuments on policy development. \u00a0<br \/>\nWMA currently has\u00a0 more than\u00a0 1000 active<br \/>\nAssociate Members\u00a0as of April 2019.<br \/>\nThe registration page is available on the WMA<br \/>\nwebsite.<br \/>\nP A G E 1 7 |<br \/>\nP A G E \u00a0 1 8 | \u00a0<br \/>\nBALANCE SHEET\u00a0AT 31 DECEMBER<br \/>\nFOR THE YEARS 2018 AND 2017<br \/>\nF I N A N C I A L R E P O R T \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 W M A 2 0 1 9 A N N U A L R E P O R T<br \/>\n\u00a0INCOME STATEMENT FOR THE YEARS<br \/>\n2018 AND 2017<br \/>\nWMA SECRETARIAT<br \/>\nDr. Miguel R. JORGE<br \/>\nPresident<br \/>\nBrazil<br \/>\nDr. David Barbe<br \/>\nPresident-Elect<br \/>\nUnited States<br \/>\nDr. Leonid EIDELMAN<br \/>\nImmediate Past President<br \/>\nIsrael<br \/>\nDr. Frank Ulrich<br \/>\nMONTGOMERY<br \/>\nChairperson of Council<br \/>\nGermany<br \/>\nDr. Jung Yul PARK<br \/>\nChairperson of the Finance and<br \/>\nPlanning Committee until<br \/>\nDecember 2018<br \/>\nKorea<br \/>\nDr. Osahon ENABULELE<br \/>\nChairperson of the Socio-<br \/>\nMedical Affairs Committee<br \/>\nNigeria<br \/>\nDr. Joseph HEYMAN<br \/>\nChairperson of the Associate<br \/>\nMembers<br \/>\nUnited States<br \/>\n\u00a0 \u00a0 \u00a0 W H O W E A R E \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 W M A 2 0 1 9 A N N U A L R E P O R T<br \/>\nDr. Otmar KLOIBER<br \/>\nSecretary-General<br \/>\nGermany<br \/>\nDr. Mari MICHINAGA<br \/>\nVice-Chairperson of Council<br \/>\nJapan<br \/>\nDr. Ravindra Sitaram<br \/>\nWANKHEDKAR<br \/>\nTreasurer<br \/>\nIndia<br \/>\nDr Andreas RUDKJ\u00d8BING<br \/>\nChairperson of the Medical<br \/>\nEthics Committee<br \/>\nDenmark<br \/>\nP A G E \u00a0 1 9 | \u00a0<br \/>\nDr. Julia TAINIJOKI-SEYER<br \/>\nMedical Advisor<br \/>\nClarisse DELORME<br \/>\nAdvocacy Advisor<br \/>\nYoonsun PARK (Sunny)<br \/>\nHead of Operations<br \/>\nMagda MIHAILA<br \/>\nCommunication and Information Manager<br \/>\nRoderic DENNETT<br \/>\nSpanish Translator<br \/>\nAnne-Marie DELAGE<br \/>\nOffice Secretary<br \/>\nMarie Isabelle PIN HARRY<br \/>\nTechnical Assistant<br \/>\nRadhia SMAALI<br \/>\nMaintenance<br \/>\nWMA LEADERS<br \/>\nPart of the WMA Leaders with the representatives of the<br \/>\nGeorgian Medical Association<br \/>\n13, ch. du Levant, CIB \u2013 B\u00e2timent A, 01210,<br \/>\nFerney-Voltaire, France<br \/>\nPhone: +33 4 50 40 75 75\u00a0<br \/>\nFax: +33 4 50 40 59 37<br \/>\nwma@wma.net<br \/>\nfacebook.com\/WorldMedicalAssociation\/<br \/>\ntwitter.com\/medwma<\/p>\n"},"caption":{"rendered":"<p>Final WMA Annual Report ANNUAL\u00a0REPORT 2020 WORLD MEDICAL ASSOCIATION W M A D e c l a r a t i o n o n E u t h a n a s i a a n d P h y s i c i a n &#8211; A s s i s t e [&hellip;]<\/p>\n"},"alt_text":"","media_type":"file","mime_type":"application\/pdf","media_details":{},"post":454,"source_url":"https:\/\/www.wma.net\/wp-content\/uploads\/2020\/05\/Final-WMA-Annual-Report-1.pdf","_links":{"self":[{"href":"https:\/\/www.wma.net\/fr\/wp-json\/wp\/v2\/media\/14472"}],"collection":[{"href":"https:\/\/www.wma.net\/fr\/wp-json\/wp\/v2\/media"}],"about":[{"href":"https:\/\/www.wma.net\/fr\/wp-json\/wp\/v2\/types\/attachment"}],"author":[{"embeddable":true,"href":"https:\/\/www.wma.net\/fr\/wp-json\/wp\/v2\/users\/17"}],"replies":[{"embeddable":true,"href":"https:\/\/www.wma.net\/fr\/wp-json\/wp\/v2\/comments?post=14472"}]}}